HomeMy WebLinkAboutBuilding Permit Application gUL AppLWM E l ",uST[fig COMPLETED FOR APP ' "TO BE ACCEPTRI
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� Win Permit Application AUG 0 3 2018
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Planning a �t� eRt&—VdM
Building and�e Beagaltadaaa� Won Permitting 'Department
ViaginiaaAvenue,FFsaat'PlerceFL34� S • ie County,,
Phone-.�2)462-15153 Face(772) 157 Commercial Y� FL
ILICATION FOR: To SeledfroM dray, dak W at ft end of lblz-
L-C)CAT
Address: VA-k ��c�, o��\Ps�rt s#.Lucie-34952
]L l�ga oa�o l saf 3414-501-'1701-t� -Sparish 1LaX9s CM
E
Proper Tax ID Lot No.
Site Plan{Name: Bloch No_
Proect Vie: }
^�Setbacks Front � ck--r R t Sidor- E�Sime:
IDE i sED 0.3y.d'b..�R'9-1;0�J� 0v- �l�'ll�0Rd: j
i
DemblYdon of mobile ho
ac d►ttonat%,voi is co a Dertormesi under this permit—chectc all tna apply:
HVAC Gas Tank Gas Piplaa� _Shaalters �Windows/Doors
Elestnc C3 Plumbing LjSprinklers 0 Generator Rosh
Totts Sq.Ft of Coasts Glom Sq.Ft of Furst Floor:
I
Cost of Conastucoon:$ wr'o Suer peptic B.sildirg Height-
0 v
ei t:C;' uli?E 1,z;?�C E: CON7 PA -30-R:
t
mamilhwm SLmim camomfim Name: Matthew Lyle Wpne
Address:SOOD,%tAb US S 1,Siffle 402 Company,"Mm Denlopvmi Cwporaftn
may, Port St Lum StateoFl- Address:80DO South US 2,Suite 402
mala Code.34952 Fax-772-878432,24 ;Cary,PodSt Lzme 5#ate:ft_
Phone N0.772-9713 Zip Cove: 34952 F .772-a7"224
E-Mail:3WOm�(LICOM phone No. 7724r/8-55ii—
Fill nes%&amiTCftlP-HaMeren nodpagm(NdfiffereW E-Meth mw0wjmisbm=n
*wn the Ownw hs abme) State or Cmmty l lcense:
of value of comrucdon is$zsw or more,a RrzconvEla ivatice of commencement is required.
C
l
91
UPM€ �' INFOR c{AT1 1 =
60NEERs blot Applicable MORTGAGE COMPAW: �hoot Applicable
Name: Name:
Adds ess• Address:
City: Stwte: ltv. State:
7jp: Phone: Zip:: Phone:
1
FEE SRMPLE TUTU HGLD iRo r Not Applicable SONDWNG COMPANY; jpt Applicable
Marne: Name:
Address.- Address:
city: City:
zix -Phone: Zip: Phone.
I<certWy that no work or installation.has commenced prior to the issuance of a.permit
St Lucie Cour�t�makes no repr tarion that isgrantinga p it wig audwrize$he�errrai>c holder to bull d e s> aject stsa�c re
which is:n.coarllict wwany appi"icable Hoine CE�1lners Assocdaden rules,bylaws oranr3�venants that may seri rict,or prohibit such
structcrm PWase consult mft your home yrs Assoclatiotn and revie v your gleed for any restrictions Whidh.rmay apply.
Inconsideration of the grant ofthis m ted permit,I do hereW agree that j will,in all respects,perform the�erork
in accordance WO the approved Marrs,the Florida Wilding Codes and St*Lude ODunty Amendments.
The following building pem. t applications are exempt from undergoing a full corrcurrercy revfqw.room adcritions,
amessosy structures,svmmmling pools,fences,walls,signs,so-am rooms and accessory uses to another non-residential use
1pa-Ong for
improvements to your property.A fotice of Commencement must be recorded and erste on the jobsjte
bef=ore the first inspections If you intend to obtain financing,consult vvith lender or an attorney before
commend.g walt or recalff-ding your l lotice of Commencement.
48namire of i7t�ar�,�'��/.t� �igna€Ure of�ntractmrJUoerase Holder'
R
AT FLOMDA STATE OF FLORODA
rhe fo Ing•irWrument was admotWedged before ire Therforgoing.insimment wras ad'm mledged re me
this S,_,day of Zia aEry *ft j qday of`�rS.A-�� ,20 ....Ys bV'
�It�uzs=nrLyf=vi.�rrrc: reaur:ecraryaavyr�a:a
#nameof P n acknoeutedga'rhiarr of ra acov�rledgi
i` sure-of Notartr P.taEilec-State of da rida.. I
PersonalkKnow 08 Produced Identification Personally Known X 6ZrCouced-Ideofiffcaiion
Type.of identrfcabon Peoducec Twe of Identification Produced
Commission Foca. Comm .�•r ek;• - aEE alb
MY COMMiSO GEE * + MY COMMISSION p FF 187647
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04€ EXPIRES:Febiury 23,2019
,• %flf�;;.•' 8onded Thru Notary Public Undsnvrifers -
Re dU7f. F,r 8onded Thru Notary Public Undsryafterms
PIF-VIEWS FROAffl ZONING SUPERVWR PLANS vEzwmnom S a wRTi°E mAli GRovE
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